Index Finger Amputation

DC 5153Musculoskeletal38 CFR 4.71a, DC 5153

Amputation of the index (second) finger at various levels. The index finger is critical for pinch grip, pointing, and fine manipulation. The VA rates index finger amputation based on the level of the amputation and whether it is on the dominant or non-dominant hand. Higher amputations receive higher ratings.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 5153

Rating range

20% – 30%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5153. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have amputation of the index finger through the proximal phalanx on your dominant (major) hand, or amputation with metacarpal resection on the non-dominant hand. Loss of the index finger at this level significantly affects dominant hand dexterity.

What the VA looks for

Index finger amputation through proximal phalanx on dominant hand
Or non-dominant index finger amputation with metacarpal resection
X-ray confirming amputation level and bone involvement
Significant loss of pinch and fine motor function documented
Occupational impact assessment

Common Pitfalls

⚠Not documenting the exact level of amputation — the rating depends on whether the amputation is at the PIP joint, through the proximal phalanx, or includes metacarpal resection. X-rays and operative reports must specify the level.
⚠Not documenting dominant vs non-dominant hand — the rating varies based on hand dominance. Medical records must clearly identify which hand is dominant.
⚠Not claiming special monthly compensation (SMC) — combined finger amputations may reach loss-of-use thresholds that qualify for SMC-k.
⚠Not filing phantom limb pain as a separate secondary claim — phantom finger pain or sensation should be documented and may warrant a separate neurological rating.
⚠Not documenting prosthetic fit issues — finger prostheses and their impact on hand function should be recorded.

Related DBQ Forms

DBQ Amputations

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

Index Finger Amputation

How the VA rates this condition

Diagnostic code

DC 5153

Rating range

20% – 30%

Rating levels

Rating Levels

What the VA looks for

Index finger amputation through proximal phalanx on dominant hand
Or non-dominant index finger amputation with metacarpal resection
X-ray confirming amputation level and bone involvement
Significant loss of pinch and fine motor function documented
Occupational impact assessment

Common Pitfalls

⚠Not documenting the exact level of amputation — the rating depends on whether the amputation is at the PIP joint, through the proximal phalanx, or includes metacarpal resection. X-rays and operative reports must specify the level.

⚠Not documenting dominant vs non-dominant hand — the rating varies based on hand dominance. Medical records must clearly identify which hand is dominant.

⚠Not claiming special monthly compensation (SMC) — combined finger amputations may reach loss-of-use thresholds that qualify for SMC-k.

⚠Not filing phantom limb pain as a separate secondary claim — phantom finger pain or sensation should be documented and may warrant a separate neurological rating.

⚠Not documenting prosthetic fit issues — finger prostheses and their impact on hand function should be recorded.